Individual provider Active NPI

Gregory C Sampognaro, M.D.

  • Interventional Cardiology Physician
  • Monroe, LA
National Provider Identifier
1467546168
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
11645R Issued in LA
Practice address
2516 Broadmoor Blvd
Monroe, LA 71201-2988
Phone
(318) 322-7726
Fax
(318) 322-2614
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 11645R LA
Interventional Cardiology Physician 207RI0011X 11645R LA Primary

Addresses

Primary practice location

2516 Broadmoor Blvd
Monroe, LA 71201-2988

Mailing address

130 Desiard St
Suite 355
Monroe, LA 71201-7319
Phone (318) 807-7875

Other practice location 1

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4000

Other practice location 2

3100 Forsythe Ave
Monroe, LA 71201-3014
Phone (318) 966-6800

Other identifiers 2

IdentifierTypeStateIssuer
P01403345OtherLARAILROAD MEDICARE
1497827MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gsampognaro16269@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101000982 LA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 9931173168 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Louisiana State University School of Medicine in New Orleans, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Medical Group LLCGroup PAC ID 5092970624, 176 clinicians

Practice addresses (Care Compare)

3100 Forsythe Ave
Monroe, LA 71201-3014
Phone (318) 966-8875

Hospital & facility affiliations

  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125
  • Glenwood Regional Medical Center Hospital, West Monroe, LA, CCN 190160
  • Richland Parish Hospital-Delhi Hospital, Delhi, LA, CCN 191323
  • Monroe Surgical Hospital Hospital, Monroe, LA, CCN 190245
  • Franklin Medical Center Hospital, Winnsboro, LA, CCN 190140

Merit-based Incentive Payment System (MIPS)

Final score
84.3 of 100Reported as group
Quality
78.23
Promoting interoperability
100
Improvement activities
40
Cost
69.42

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100Reported as apm
Quality
60.04
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting277
Pacemaker insertion or repair54
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11645RLAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Health Group, LLC Cardiovascular Disease CurrentSince Sep 17, 2014 Accepting new patients
St Francis Medical Group LLC CurrentSince Jan 2, 2024 Accepting new patients
Affinity Health Group, LLC CurrentSince Sep 17, 2014 Accepting new patients
Gregory C Sampognaro MD CurrentSince Mar 21, 1996 Accepting new patients
St. Francis Medical Center, Inc. CurrentSince Aug 1, 2022 Accepting new patients
St Francis Medical Center, Inc CurrentSince Aug 1, 2022 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

3421 Medical Park Dr
Monroe, LA 71203
Phone (318) 327-4686

2600 Tower Dr
Ste 418
Monroe, LA 71201
Phone (318) 966-2001

2516 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 322-1161

2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525

2503 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 322-7726

130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

920 Oliver Rd
Ste B
Monroe, LA 71201
Phone (318) 327-6201

3100 Forsythe Ave
Monroe, LA 71201
Phone (318) 699-0505

517 Catalpa St
Monroe, LA 71201
Phone (318) 966-6500

Interoperability endpoints

  • Direct secure messaging: gsampognaro16269@direct.casso.us.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1467546168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DESIARD ST",
            "address_2": "SUITE 355",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017319",
            "telephone_number": "318-807-7875",
            "fax_number": "318-812-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 BROADMOOR BLVD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012988",
            "telephone_number": "318-322-7726",
            "fax_number": "318-322-2614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712017407",
            "country_code": "US",
            "telephone_number": "318-966-4000",
            "fax_number": "318-966-7359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Forsythe Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712013014",
            "country_code": "US",
            "telephone_number": "318-966-6800",
            "fax_number": "318-966-6801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMPOGNARO",
        "first_name": "GREGORY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "11645R",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "11645R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01403345",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497827",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gsampognaro16269@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "gsampognaro16269@direct.casso.us.com",
            "address_1": "309 Jackson St",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "309 Jackson St",
            "city": "Monroe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712017407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.